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精神病学中的认知不公正。

Epistemic injustice in psychiatry.

作者信息

Crichton Paul, Carel Havi, Kidd Ian James

机构信息

Ministry of Justice, London, UK.

University of Bristol.

出版信息

BJPsych Bull. 2017 Apr;41(2):65-70. doi: 10.1192/pb.bp.115.050682.

DOI:10.1192/pb.bp.115.050682
PMID:28400962
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5376720/
Abstract

It has been argued that those who suffer from medical conditions are more vulnerable to epistemic injustice (a harm done to a person in their capacity as an epistemic subject) than healthy people. This editorial claims that people with mental disorders are even more vulnerable to epistemic injustice than those with somatic illnesses. Two kinds of contributory factors are outlined, global and specific. Some suggestions are made to counteract the effects of these factors, for instance, we suggest that physicians should participate in groups where the subjective experience of patients is explored, and learn to become more aware of their own unconscious prejudices towards psychiatric patients.

摘要

有人认为,患有疾病的人比健康人更容易遭受认知不公正(对作为认知主体的人的一种伤害)。这篇社论声称,患有精神障碍的人比患有躯体疾病的人更容易遭受认知不公正。文中概述了两类促成因素,即全局性因素和特定性因素。还提出了一些建议来抵消这些因素的影响,例如,我们建议医生应参加探讨患者主观体验的小组,并学会更加意识到自己对精神科患者的无意识偏见。

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本文引用的文献

1
Epistemic Injustice and Illness.认知不公与疾病
J Appl Philos. 2017 Feb;34(2):172-190. doi: 10.1111/japp.12172. Epub 2016 Feb 8.
2
Invisible suffering: breathlessness in and beyond the clinic.无形的痛苦:诊所内外的呼吸急促
Lancet Respir Med. 2015 Apr;3(4):278-9. doi: 10.1016/S2213-2600(15)00115-0.
3
Psychiatry, subjectivity and emotion - deepening the medical model.精神病学、主观性与情感——深化医学模式
Psychiatr Bull (2014). 2014 Jun;38(3):97-101. doi: 10.1192/pb.bp.113.045260.
4
Epistemic injustice in healthcare: a philosophial analysis.医疗保健中的认知不公正:哲学分析
Med Health Care Philos. 2014 Nov;17(4):529-40. doi: 10.1007/s11019-014-9560-2.
5
Does stigma impair prevention of mental disorders?污名化是否会影响精神障碍的预防?
Br J Psychiatry. 2014;204:249-51. doi: 10.1192/bjp.bp.113.131961.
6
Thoughts for new medical students at a new medical school.给新医学院校新生的寄语。
BMJ. 2003 Dec 20;327(7429):1430-3. doi: 10.1136/bmj.327.7429.1430.